SHANNON R VANZUMMEREN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

VANZUMMEREN

Business Name

SHANNON R VANZUMMEREN

Original Issue Date

08/14/2015

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026